u3a

Bulkington, Nuneaton and Bedworth

Registration Form (Individuals)

BNB U3A Members Registration form 2026-27

This form is used to capture your details so we can register your membership of BNB u3a or Renew your Membership if you are already a member. Please enter ALL details below, BEFORE you click on the Paypal button to make your payment.

You will be asked to enter a username in order to create an account on our systen to allow you to login and renew your membership when it is due.

NOTE: YOU DO NOT NEED A PAYPAL ACCOUNT TO COMPLETE A PAYMENT BY CARD, SCROLL DOWN ON THE PAYPAL PAGE TO CHOOSE THE DEBIT/CREDIT CARD PAYMENT OPTION. Paypal will still encourage you to create an account during the payment process - THIS IS NOT REQUIRED TO PAY YOUR BNBU3A SUBSCRIPTION, SO SWITCH OFF THE ACCOUNT OPTION AT THE BOTTOM OF THE PAYPAL PAGE IF YOU DO NOT WANT AN ACCOUNT.

COUPLES - If you are registering for the first time, please DO NOT USE THIS FORM, go HERE instead.

This form is best completed on a Desktop or Laptop PC or Tablet with a reasonable-sized screen. Attempting to complete the form on a small screen such as a mobile phone may be difficult and may not work, although we have made some recent changes to help with this.

BNB u3a Membership Registration 2026-27

Please enter your membership option and details below

Membership Options 2026-27 *

Single Standard - £ 15.00

Couples Standard - £ 28.00

Use this option if you are a member of another u3a: Single Associate Member - £ 10.00

Use this if you are both members of another u3a: Couples Associate Member - £ 18.00

Total Amount

BNBu3a Full Contact Details

Title *

Forename *

Surname *

Email (Primary)

Telephone no. (Primary) *

Address line 1 *

Address Line 2

Address Line 3

Address Line 4

City/Town *

Postal Code *

County

Group Preferences - Please select which Interest Group(s) you are interested in joining, or are already participating in, or suggest an alternative group you would be interested in.

Group Preferences *

Please define any alternative Interest Group you might be interested in:

Alternative Interest Group

How did you find out about us?

Gift Aid Declaration

After reading the following statement, please tick ONE option to confirm you wish to Gift Aid your membership subscription, or select NO if it does not apply:

I am a UK tax payer and understand that if I pay less Income Tax and/or Capital Gains Tax for each Tax Year (6 April to 5 April) than the amount of Gift Aid claimed on my membership subscription in that tax year it is my responsibility to pay the difference. I understand that the charity will claim 25p on every £1 of my subscription.

UK Tax Payer? *

Yes, today and in the future

Yes, This year's subscription only

Date declaration given *

Start Date will normally be the same as the Declaration Date

Start Date *

Communication Preferences

We need your permission to communicate with you about our monthly meetings and special interest group activities, and to send you future membership renewal notices. To reduce postage costs we would prefer if you only select the Postal option if you do not have access to email. Please select your preferred communication method(s)

Preferred Communication Method

Phone
Email
Postal Mail
SMS

PAYMENT BUTTON BELOW: You do not need a Paypal account to pay using the Paypal process - select the Credit/Debit Card button below to pay by debit/credit card

NOTE: Paypal will encourage you to create an account during the above payment process - THIS IS NOT REQUIRED TO PAY YOUR BNBU3A SUBSCRIPTION, SO SWITCH OFF THE ACCOUNT OPTION AT THE BOTTOM OF THE PAYPAL PAGE IF YOU DO NOT WANT AN ACCOUNT.

Thank you for completing your details - Once your payment details are entered, your payment will be processed and your membership will be registered. We hope you will enjoy all the activities that we have to offer. If you choose to pay by Cash or Cheque, your details will be registered as ‘Pending’ and will be completed once payment has been received. Please make cheques payable to ‘BNBu3a’.

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